青岛市新型农村合作医疗基金运行的问题与对策研究.pdf

management and use of the fund. By analyzing the management problems of NRCM system, it points out the causes of these problems from the perspective of governmental system. Then it proposes scientific and targeting countermeasures and suggestions by analyzing the causes of the existing problems, to establish secure fund operation mechanism of the cooperative medial system in accordance with Qingdao’s local characteristics, to promote the sustainable development of the system and the new rural construction of this area, so as to maintain the peasants’ vital interests. Keywords: new rural cooperative medial system; fund management; Countermeasure research 目 录 第一章 引言„„„„„„„„„„„„„„„„„„„„„„„„„„„9 一 研究背景与研究目的„„„„„„„„„„„„„„„„„„„„9 二 国内外研究现状与发展动态„„„„„„„„„„„„„„„„„„„„11 (一) 国外研究现状与发展动态„„„„„„„„„„„„„„„„„„„„11 (二) 国内研究现状与发展动态„„„„„„„„„„„„„„„„„„„„13 三 论文主要内容与研究方法„„„„„„„„„„„„„„„„„„15 (一) 论文主要内容„„„„„„„„„„„„„„„„„„„„„„15 (二) 论文研究方法„„„„„„„„„„„„„„„„„„„„„„15 四 创新之处与研究不足„„„„„„„„„„„„„„„„„„„16 (一) 创新之处„„„„„„„„„„„„„„„„„„„„„„„16 (二) 研究不足„„„„„„„„„„„„„„„„„„„„„„„16 第二章 新型农村合作医疗的内涵和基金运行机理 „„„„„„18 一 新型农村合作医疗的内涵与主要内容„„„„„„„„„„„„„„„18 二 新型农村合作医疗的运行流程„„„„„„„„„„„„„„„20 (一) 新型农村合作医疗的基金筹集„„„„„„„„„„„„„„„„„20 (二) 新型农村合作医疗的基金使用„„„„„„„„„„„„„„„„„21 (三) 新型农村合作医疗的基金管理„„„„„„„„„„„„„„„„„22 第三章 青岛市新型农村合作医疗的发展状况„„„„„„„„„24 一 青岛市新型农村合作医疗的形成„„„„„„„„„„„„„„24 二 青岛市新型农村合作医疗的发展„„„„„„„„„„„„„„24 三 青岛市新型农村合作医疗的特点„„„„„„„„„„„„„„25 四 青岛市新型农村合作医疗的主要成就„„„„„„„„„„„„27 第四章 青岛市新型农村合作医疗基金运行的问题及成因„„„27 一 青岛市新型农村合作医疗基金运行的问题„„„„„„„„„„27 (一)青岛市新型农村合作医疗基金筹集问题„„„„„„„„„„„„„27 (二)青岛市新型农村合作医疗基金管理问题„„„„„„„„„„„„„29 (三)青岛市新型农村合作医疗基金使用问题„„„„„„„„„„„„„30 二 青岛市新型农村合作医疗资金管理使用存在问题的成因„„„„„„„38 第五章 加强新型农村合作医疗资金管理、提高使用效益的对策„40 一 加强对新农合的组织领导„„„„„„„„„„„„„„„„„„„„40 二 做好新农合资金筹集保障„„„„„„„„„„„„„„„„„„„„40 三 加强资金管理监督措施„„„„„„„„„„„„„„„„„„„„„41 (一)严格执行新农合基金管理的政策规定，确保基金安全„„„„„„„„42 (二)充分发挥主管部门的职能作用，强化基金监管„„„„„„„„„„„42 (三)规范新农合基金基础管理，确保基金平稳运行„„„„„„„„„„„42 四 不断完善科学合理的补偿机制„„„„„„„„„„„„